Carcinoid

Description

Post grad FRCR 2a GI Bowel Mind Map on Carcinoid, created by sherry_zaman on 08/03/2014.
sherry_zaman
Mind Map by sherry_zaman, updated more than 1 year ago
sherry_zaman
Created by sherry_zaman over 10 years ago
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Resource summary

Carcinoid
  1. primary malignancy
    1. small bowel 30%
      1. ileum 80%
        1. single or multiple
          1. may cause ulceration
            1. fibrosis may cause hairpin turn
              1. enhance with Gad
              2. duodenal 2%
                1. well defined, rounded mass
                  1. arterial enhancement
                    1. portal venous washout
                  2. appendix 45%
                    1. stomach 10%
                      1. flocculation of contrast
                        1. fundus
                          1. mets in >60% at diagnosis
                          2. 30% have a second GI tract primary malignancy
                          3. histology
                            1. neuroendocine cells of submucosa
                              1. 5-HIAA
                                1. ACTH
                                  1. histamine
                                    1. serotonin
                                  2. mets
                                    1. liver
                                      1. bone
                                        1. lung
                                          1. LN
                                          2. imaging
                                            1. nuclear med
                                              1. In-111 octreotide scan
                                                1. somatostatin +ve carcinoid disease
                                                  1. radiolabelled therapeutic option
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